<form id="edit-form" class="form-horizontal" role="form" data-toggle="validator" method="POST" action="">

    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Name')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-name" class="form-control" name="row[name]" type="text" value="">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Gender')}:</label>
        <div class="col-xs-12 col-sm-8">
                        
            <select  id="c-gender" class="form-control selectpicker" name="row[gender]">
                    <option value="">請選擇</option>
                {foreach name="genderList" item="vo"}
                    <option value="{$key}">{$vo}</option>
                {/foreach}
            </select>

        </div>
    </div>

    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Birthday')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-birthday" class="form-control datetimepicker" data-date-format="YYYY-MM-DD" name="row[birthday]" type="text" value="1990-1-1">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Id_card')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-id_card" class="form-control" name="row[id_card]" type="text" value="">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Return_permit')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-return_permit" class="form-control" name="row[return_permit]" type="text" value="">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Hk_address')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-hk_address" class="form-control" name="row[hk_address]" type="text" value="">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Nd_address')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-nd_address" class="form-control" name="row[nd_address]" type="text" value="">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Hk_mobile')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-hk_mobile" class="form-control" name="row[hk_mobile]" type="text" value="">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Nd_mobile')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-nd_mobile" class="form-control" name="row[nd_mobile]" type="text" value="">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Email')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-email" class="form-control" name="row[email]" type="text" value="">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Fm_mobile')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-fm_mobile" class="form-control" name="row[fm_mobile]" type="text" value="">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Native_place')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-native_place" class="form-control" name="row[native_place]" type="text" value="">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Education')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-education" class="form-control" name="row[education]" type="text" value="">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Cognitive_approach')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-cognitive_approach" class="form-control" name="row[cognitive_approach]" type="text" value="">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Is_voter')}:</label>
        <div class="col-xs-12 col-sm-8">
                        
            <select  id="c-is_voter" class="form-control selectpicker" name="row[is_voter]">
                    <option value="">請選擇</option>
                {foreach name="isVoterList" item="vo"}
                    <option value="{$key}">{$vo}</option>
                {/foreach}
            </select>

        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Trade_union')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-trade_union" class="form-control" name="row[trade_union]" type="text" value="">
        </div>
    </div>
    <div class="form-group layer-footer">
        <label class="control-label col-xs-12 col-sm-2"></label>
        <div class="col-xs-12 col-sm-8">
            <button type="submit" class="btn btn-success btn-embossed disabled">{:__('OK')}</button>
            <button type="reset" class="btn btn-default btn-embossed">{:__('Reset')}</button>
        </div>
    </div>
</form>
